HomeMy WebLinkAboutPlg Permit 01-0069
SILVA-BREEN, LYNNE
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PRIOR LAKE, MN 55372
(952) 447-5844
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CITY 0: p~ OR LAKE
PLUMBING PERMIT
Applicant: N{)f<hILJ"vL.FW/fIlhl.JJ:; Phone:
Address: -Z,10 f-, ~/61....-('). ~ c-,:>
Signature: C-~ ??~~
Legal Descr~: Lot ( .Block
~ite Address:
BuildingPermit#. OI-OOv.,Cf PID# 25-017-007-0
NOTE: This permit will not be processed wfthout complete information.
FIXTURE UNITS
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Quantity
,. - . .
Type of Fixture
Quantity
Type of Fixture
Bath Tub with or without shower
Dishwasher
Floor Drain
Lavatory (bathroom sink)
Laundry Tray (1 or 2 compartment sink)
Shower Stall
Sinks
Bar Sink
Water Closet (toilet)
,
Rough-ins
Water Heater
Water Softner
Stand Pipe (washing machine)
Sewage Ejector
Backflow Assembly (RPZ, Double Check, PVB)
Backflow Assembly Test
Lawn Sprinkler
Other
FEE SCHEDULE
Industrial, Commercial & Multi-Family .
(1 % of job cost, $39.50 minimum)
Residential, New One & Two Family
Residential, Additions & Alterations
State Surcharge
GRAND TOTAL
$
$
$
$ .50
$ l-/()p(O
.
$99.50
$39.50
This permit is granted upon the express condition that said
contractor, shall comply iOn all respects with the ordinances
of the State Plumbing C amendments thereof.
~();qq RE z--O ..01 DATE
.ATrEST
Call for all ins ctions 24 hours in advance.
16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372 / Ph. (612) 447-4230 / FAX (612) 447-4245
An Equal Opportunity Employer
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.vTICE
SCHEDULED
DATE TIME
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OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
01- OOC:, C;
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
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~ORK SATISFACTORY, PROCEED
/ OW CORRECT ACTION AND PROCEED
o CORRECT W~ALL FOR REINSPECTION BEFORE COVERING
Inspector: V/J:??r ( Owner/Contr:
v
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
/NSNOrI